DR. JOHN MARTIN TIDD PSY.D.
NPI 1780808741
Psychologist - Clinical in Cincinnati, OH

Q: What is John Tidd's NPI number?

The NPI number for John Tidd is 1780808741. It was assigned to this individual provider in the NPPES registry on April 12, 2007.

Q: What is John Tidd's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: Is John Tidd enrolled in Medicare?

No. John Tidd has opted out of Medicare through April 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for John Tidd was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 12, 2007Opted out of Medicare · through Apr 1, 2027

11497 SPRINGFIELD PIKE, CINCINNATI, OH 45246(513) 772-9300(513) 772-9302 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Dr. John Martin Tidd Psy.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JOHN MARTIN TIDD PSY.D. (NPI 1780808741) is an individual clinical provider in Cincinnati, Ohio, licensed in Ohio (4311) and active in the NPI registry since April 2007. He has opted out of Medicare through April 1, 2027.

NPPES Registry Identity

NPI1780808741

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. JOHN MARTIN TIDDCredential: PSY.D.

Location Address11497 SPRINGFIELD PIKECincinnati, OH 45246-3551

Mailing Address11497 Springfield PikeCincinnati, OH 45246-3551 · (513) 772-9300 · Fax (513) 772-9302

Phone(513) 772-9300

Fax(513) 772-9302

Sole ProprietorNo

Enumeration DateApril 12, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1780808741 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

Licenses✔ Licensed in OH · 4311✔ Licensed in KY · 694

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

11497 SPRINGFIELD PIKE, Cincinnati, OH 45246

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Other Identifiers 3

Medicare ID-Type UnspecifiedCP15683OH

Medicare UPINR90732OH

Medicaid0976583OH

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. John Martin Tidd Psy.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 1, 2015 through April 1, 2027.

Opt-Out Effective DateApril 1, 2015

Opt-Out In Effect ThroughApril 1, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FAMILY SUCCESS CONSORTIUM INC

Psychologist

11497 SPRINGFIELD PIKE
CINCINNATI, OH 45246

Hamilton County (513) 772-9300

DR. ANGELA LYNN VREDEVELD PSYD

Psychologist (Clinical)

11497 SPRINGFIELD PIKE, SUITE 5
CINCINNATI, OH 45246

Hamilton County (513) 772-9300

DR. DONALD HENRY MALNOFSKI DDS

Dentist (General Practice)

11497 SPRINGFIELD PIKE, SUITE 2
CINCINNATI, OH 45246

Hamilton County (513) 772-2396

DR. WILLIAM LEE CAHALAN PH.D.

Psychologist (Clinical)

11497 SPRINGFIELD PIKE
CINCINNATI, OH 45246

Hamilton County (513) 772-9300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Tidd's NPI number?

The NPI number for John Tidd is 1780808741. It was assigned to this individual provider in the NPPES registry on April 12, 2007.

Where is John Tidd located?

John Tidd practices at 11497 Springfield Pike, Cincinnati, OH 45246. The listed phone number is (513) 772-9300.

What is John Tidd's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is John Tidd enrolled in Medicare?

No. John Tidd has opted out of Medicare through April 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for John Tidd was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.